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NPI Code Detail

MEDICARE: AH YOUNG CHANG L.AC

MEDICARE:   AH YOUNG  CHANG  L.AC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist007308-01NY

General Provider Information

NPI Number : 1700578911
Entity Type Code : Individual
Provider Name (Legal Business Name) : AH YOUNG CHANG L.AC
Provider Business Mailing Address
First Line : 14442 25TH RD
Second Line :
City : FLUSHING
State : NY
Zip : 11354-1360
Country : US
Telephone Number : 718-869-2255
Fax Number :
Provider Business Practice Location Address
First Line : 14442 25TH RD
Second Line :
City : FLUSHING
State : NY
Zip : 11354-1360
Country : US
Telephone Number : 718-869-2255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2023
Last Update Date : 05/24/2023

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Directions to “ AH YOUNG CHANG L.AC” Practice Location

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